Efficacy of Transurethral Resection of Prostate (TURP) in Symptomatic Relief in Benign Prostatic Hyperplasia (BPH) Patients without Retention

Background: Benign prostatic hyperplasia had been known for several centuries to be a cause of urinary dysfunction. In a study of aging among the normal volunteers it was found that there is 60% clinical incidence of BPH in men between 60-69 years of age. This is a common surgical problem which affects men above the age of 50 years. However there are only 10-15% of cases which have significant outflow obstruction. Aim: To find out efficacy of TURP in symptomatic relief in BPH patients without retention and to determine parameters influencing the outcome. Study Design: Comparative prospective study. Methodology: This study was carried out in the Department of Urology Divisional Headquarter Hospital, Mirpur Azad Kashmir from January 1st, 2017 to December 31st 2017. A total of 50 consecutive patients who presented in the department with LUTS due to BPH (without retention) were included. Serum P.S.A was done, if there was suspicion of hard prostate on D.R.E. Results: Mean age of the patients was 67.5+7.17 years. Out of total 50, 43 (86%) patients had severe symptom score and 07 (14%) patients had moderate symptom score preoperatively. Normal flow rate in males is 20-25ml/sec. There was no patient in our study who had a flow rate more then 15ml/sec preoperatively. Post operative follow-up of maximum urinary flow rate (Qmax) shows that after remarkable improvement in Qmax between 1st & 4th week with a p <0.0010 and <0.0005, there was only minor change between 4th week & 12th week, p <0.940 shows that no significant change occurred during this period. Conclusion: It is concluded that TURP is very effective even in those patients who present with lower urinary tract symptoms due to BPH without retention of urine. Urologists should not wait if the patient is not responding to the medical treatment. TURP should be done as early as possible to save the patient from undue catheterization and its complications.